This creation provides a kind of plant tooth spanner of multi-angle rotary combination, and it includes a main rod body, one end of the main rod body has bending segment, is that an angle is presented with the main rod body, and integrally formed with the main rod body; The bending segment front end is equipped with a fixed block; And a ratchet head, it is removably to be engaged with the fixed block, is engaged with the what fixed block to adjust different angle. Thereby, user can rotate the ratchet head in the fixed what main rod body of adjustment Hou according to the angle of palpus during plant tooth.本創作提供了一種多角度旋轉組合之植牙扳手,其包含:一主桿體,該主桿體之一端具有彎折段,其係與該主桿體呈現一角度,且與該主桿體一體成形;該彎折段前端設有一固定塊;及一棘輪頭,其係可拆卸地與該固定塊接合,用以調整不同角度使之接合於該固定塊。藉此,使用者可依照植牙過程中所須之角度,將該棘輪頭旋轉調整後固定於主桿體上。